MikeLigalig.com

Quote from: hubag bohol on July 08, 2012, 10:39:52 PM
Naa puy crispy na...

bai hubag, mo suko si mustafa og si muhammad ani ...

hahahahaha! oh you two!

he he he, someone sent me this in the email, mo share lang pod ko diri ba.

Lami pod na!

I remember when I was a young child, my nanay millie used to make scrambled eggs, buwad, and champorado and rice for us (my younger sister and i). oh man, lami kaayo ang champorado i sagol sa luto and eat that with scrambled eggs and buwad!

lami pod if naay pod pork n beans and tocino to go with it.

http://www.youtube.com/watch?v=4Ex6yfkVKOQ#

http://www.youtube.com/watch?v=y6y_4_b6RS8#ws

http://www.youtube.com/watch?v=Cjuu4a-zv5s#

A friend loves at all times, and a brother is born for adversity.

Proverbs 17:17

God bless these two kids !! Yes, brotherhood is a blessing from God above.

reference:

http://www.cancer.gov/cancertopics/cancerlibrary/what-is-cancer

Cancer types can be grouped into broader categories. The main categories of cancer include:

    Carcinoma - cancer that begins in the skin or in tissues that line or cover internal organs.

    Sarcoma - cancer that begins in bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue.

    Leukemia - cancer that starts in blood-forming tissue such as the bone marrow and causes large numbers of abnormal blood cells to be produced and enter the blood.

    Lymphoma and myeloma - cancers that begin in the cells of the immune system.

    Central nervous system cancers - cancers that begin in the tissues of the brain and spinal cord.

Origins of Cancer

All cancers begin in cells, the body's basic unit of life. To understand cancer, it's helpful to know what happens when normal cells become cancer cells.

The body is made up of many types of cells. These cells grow and divide in a controlled way to produce more cells as they are needed to keep the body healthy. When cells become old or damaged, they die and are replaced with new cells.

However, sometimes this orderly process goes wrong. The genetic material (DNA) of a cell can become damaged or changed, producing mutations that affect normal cell growth and division. When this happens, cells do not die when they should and new cells form when the body does not need them. The extra cells may form a mass of tissue called a tumor.

Cancer is a term used for diseases in which abnormal cells divide without control and are able to invade other tissues. Cancer cells can spread to other parts of the body through the blood and lymph systems.

Cancer is not just one disease but many diseases. There are more than 100 different types of cancer. Most cancers are named for the organ or type of cell in which they start - for example, cancer that begins in the colon is called colon cancer; cancer that begins in basal cells of the skin is called basal cell carcinoma.

reference:

http://www.mayoclinic.com/health/staph-infections/DS00973/DSECTION=treatments-and-drugs

Treatment of a staph infection may include:

    Antibiotics. Your doctor may perform tests to identify what type of staph bacteria is behind your infection, to help choose the antibiotic that will work best. Antibiotics sometimes prescribed to treat staph infections include cephalosporins, nafcillin or related antibiotics, sulfa drugs or intravenous vancomycin. Vancomycin increasingly is required to treat serious staph infections because so many strains of staph bacteria have become resistant to other traditional medicines. But vancomycin is effective for staph infections only when it's given intravenously.

    Wound drainage. If you have a skin infection, your doctor may make an incision into the sore to drain fluid that has collected there.
    Device removal. If your infection involves a device or prosthetic, prompt removal of the device is needed. For some devices, removal might require surgery.

To diagnose a staph infection, your doctor will:

    Perform a physical exam. During the exam, your doctor will closely examine any skin lesions you may have.
    Collect a sample for testing. Most often, doctors diagnose staph infections by checking a tissue sample or nasal secretions for signs of the bacteria.

Many people carry staph bacteria and never develop staph infections. If you have a staph infection, there's a good chance that it stemmed from bacteria you've been carrying around for some time.

These bacteria can also be transmitted from person to person. Because staph bacteria are so hardy, they can live on inanimate objects such as pillowcases or towels long enough to transfer to the next person who touches them.

Staph bacteria are able to survive:

    Drying
    Extremes of temperature
    High levels of salt

Staph infections can range from minor skin problems to endocarditis, a life-threatening infection of your heart valve lining. As a result, signs and symptoms of staph infections vary widely, depending on the location and severity of the infection.

Skin infections
Skin infections caused by staph bacteria include:

    Boils. The most common type of staph infection is the boil, a pocket of pus that develops in a hair follicle or oil gland. The skin over the infected area usually becomes red and swollen. If a boil breaks open, it may drain pus, blood or an amber-colored liquid. Boils occur most often under the arms or around the groin or buttocks.
    Impetigo. This contagious, often painful rash can occur in all ages, but it's most common in young children and infants. The types of impetigo caused by staph bacteria usually feature large blisters that may ooze fluid and develop a honey-colored crust. These sores occur most commonly around the nose and mouth.
    Cellulitis. Cellulitis â€" an infection of the deeper layers of skin â€" causes skin redness and swelling on the surface of your skin. Sores (ulcers) or areas of oozing discharge may develop, too. Cellulitis occurs most often in the lower legs and feet of older persons.
    Staphylococcal scalded skin syndrome. Toxins produced as a result of a staph infection may lead to staphylococcal scalded skin syndrome. Affecting mostly newborns, this condition features fever, a rash and sometimes blisters. When the blisters break, the top layer of skin comes off â€" leaving a red, raw surface that looks like a burn.

Bacteremia
Also known as blood poisoning, bacteremia occurs when staph bacteria enter a person's bloodstream. A persistent fever is one sign of bacteremia. The bacteria can travel to locations deep within your body, to produce infections affecting:

    Internal organs, such as your brain, heart or lungs
    Bones and muscles
    Surgically implanted devices, such as artificial joints or cardiac pacemakers

Toxic shock syndrome
This life-threatening condition results from toxins produced by some strains of staph bacteria and has been linked to the use of certain types of tampons, skin wounds and surgery. It usually develops suddenly, with:

    High fever
    Nausea and vomiting
    A rash on your palms and soles that resembles sunburn
    Confusion
    Muscle aches
    Seizures
    Headache

Septic arthritis
Septic arthritis is often caused by a staph infection. The bacteria usually target the knees, but other joints can be affected, including your ankle, hip, wrist, elbow or shoulder. Signs and symptoms may include:

    Joint swelling
    Severe pain in the affected joint
    Fever
    Shaking or chills

When to see a doctor
Go to the doctor if you or your child has:

    An area of red, irritated or painful skin
    Pus-filled blisters
    Fever

You may also want to consult your doctor if:

    Skin infections are being passed from one family member to another
    Two or more family members have skin infections at the same time

Staph infections are caused by staphylococcus bacteria, a type of germ commonly found on the skin or in the nose of even healthy individuals. Most of the time, these bacteria cause no problems or result in relatively minor skin infections.

But staph infections can turn deadly if the bacteria invade deeper into your body, entering your bloodstream, joints, bones, lungs or heart.

In the past, a lethal staph infection might have occurred in a person who was hospitalized or had a chronic illness or weakened immune system. Now, a growing number of otherwise healthy people are developing life-threatening staph infections. And many staph infections no longer respond to common antibiotics.

He was a good actor! I used to watch the movies he used to be in with babalu ....

At least we can see some progress being attained in Bohol !

he he he, you do bring out a big point, superwoman.

Fancy kaayo sa bathroom!

My goodness ! So many Chinese people ! Populated gayod kaayo diay sa China...

Quote from: islander on July 10, 2012, 04:23:40 PM
aw, na hala, una ka mahinayak ug pika sa imong lawom jamong maningles, bol-anon ra ba ko matod pa ni sir balong sa niaging panahon, sige, allergic man diay kag pikot, dia ra imong kaliwat nga dakog mata tuod:



happy now?

Handsome eyes lagi siya.

Quote from: nessie on July 10, 2012, 05:19:29 PM
Whoa! So alarmed to have seen this thread of mine na nagtrending hahaha! Seriously, thanks to those who are nice, friendly and did try to make this "payag" of mine alive. I can't name all of you pero thanks jud from the bottom of my heart. Had fun reading about your posts like kung ig-agaw ba ang isa ka gan kay lorenzo, the james bond thing, pati ang pics sa tarsiers hahaha!;) btw, just woke up but still wanting to get some sleep later. Gonna be out for a while for my biking session Need to burn some calories. Cya around!

Ness,

He he he, interesting lagi kaayo ang discourse diri, ma lingaw gajod ang tawo. Sige, I look forward to chit chatting with you in the boards.

Regards,
Lorenzo

Quote from: hubag bohol on July 11, 2012, 10:33:47 AM
Bitaw, di pa ta mahutdan og supply sa pinakalami nga ginamos nga taga sa Balingsya...

he he he, got that right ! way ka lupig sa ginamos sa among lungsod!

Today , after medical duty, I headed towards Northwestern and began a concrete review for the nursing students who are studying for their NCLEX examination. I was given a new syllabus to begin a new ATI TEAS review course for the new batch of incoming nursing students. This batch of nursing students will quite potent as I am expected to lecture to some 26 students. I already know that with such a number, I should already be ready for all the intrigue in class. After receiving my syllabus today, I talked to Dr. Maria about the new schedule for this coming month were I am to assume the position of Assistant Director of Allied Health Department at Northwestern. I am quite expectant at the same time very nervous with the responsibility it entails. I'm ready tho. Was very happy to see some of my former students now already getting ready to graduate their nursing program from Northwestern. I cannot help but smile when they say to me, "Dr. Lorenzo, we're almost done! Just 1 more course to go!" 

Ma lipay pod ko gajod. I know that these students will go far in life and I do hope and pray that their patients will benefit from their sympathetic care and their kindness.

Cheers to that !

Quote from: chicogon on July 11, 2012, 12:49:43 PM
Kalami... labi na with coffee in the morning 

Yes, it is delicious and splendid with coffee, english black coffee, chai latte or even sri langkan coffee. I truly recommend the pistachio flavored one, or the coconut lemon.

Today a patient came up to me and said, "Dr., I want to see my mother, can I see her please? When can I see my mother?"

The patient was a 93 year old Alzheimer patient. Luoy pod intawn. Ah, price of old age....

I like to go to this bakery once and a while; I don't mind driving some 10 minutes for lunch here. It allows me to clear my thoughts from work and all the stresses related thereto. Plus, its a good place to just relax.

shark fin is very rich in omega 3,6 fatty acids , by the way, good for the heart ni siya.

lami ni sila i sugbahon, bai bugsay. ang karne sa shark, lami kaayo ni i butang sa tinola. mao ni paborito sa ahong lolo.

The name of the bakery is Alliance Bakery, which is situated in River North, close to downtown. And only 10 minutes drive away from my hospital. 







Three macaroons and 1 cup of tea cost me $19. One macaroon was priced at $5.
Ah, the steep price for "authentic" French macaroons.

Today, I went to a French inspired cafe here in Downtown Chicago and had macaroons , complemented by tea.

Rest in peace, Dolphy...

Quote from: enadespinosa on July 10, 2012, 06:32:51 PM

What a wonderful view !

Who was Zacharias?



He was the father of John the Baptist, and a Levitical priest.

God can do impossible things, and that is exactly what he promised to do for Zacharias and Elizabeth. But their child was not to be just any ordinary child. He would be the forerunner of the Messiah predicted by the Prophet Malachi (Luke 1:15-17; cf. Mal. 3:1; 4:5, 6).

All this was too much for Zacharias to grasp. He had been praying for a son, but admittedly, his faith had been weakening. Now this Word from Godâ€"it was too good to be true. Before he had a chance to get his thoughts together, he blurted out, “How shall I know this for certain? For I am an old man, and my wife is advanced in years” (Luke 1:18). Zacharias was a man of God, but he was a man, and he had human weaknesses. God understands a weakness like this faltering faith. He is not exactly ecstatic about it, but He does understand it, and He goes to great lengths to stimulate and strengthen that faith. That is one reason he gave us His Word, and one reason He includes these great historic events in the Word. God’s Word excites faith as we meditate on it and its application to our lives. “So faith comes from hearing, and hearing by the word of Christ” (Rom. 10:17).

Zacharias knew the Old Testament Scriptures. He knew how God had given a son to Sarah in her old age. But he did not think about that great Old Testament precedent at this moment of need. Even men of the Word may fail to appropriate it at times. But God did something very gracious for Zacharias to help him believe. He gave him a sign. “And behold, you shall be silent and unable to speak until the day when these things take place, because you did not believe my words, which shall be fulfilled in their proper time” (Luke 1:20). It was not very pleasant for him to lose his voice, and his hearing, as we later learn (cf. Luke 1:62). But I don’t think Zacharias minded very much. His inability to speak and hear were God’s confirmation of His Word, and they served to strengthen his faith in God’s promise.

When Zacharias emerged from that Holy Place he was a different man. He had long been a godly man, but his encounter with the angel Gabriel left him with a new awareness of God’s greatness, a new sense of his own unworthiness, and a strong, virile faith. When his week of priestly service was over, he hurried home to share with Elizabeth every detail of that memorable day, and they rejoiced together in God’s grace.

“And after these days Elizabeth his wife became pregnant; and she kept herself in seclusion for five months” (Luke 1:24).


reference:

http://bible.org/seriespage/impossible-things-do-happen%E2%80%94i-story-zacharias-and-elizabethi

Who was Daniel, the prophet?





Daniel was a young man of deep convictions. He knew and understood the ways of God, even in his youth. He must have spent much of his young life studying the law because he knew it well by the time he was taken captive into Babylon. Daniel knew the importance of remaining pure and undefiled, even in a culture that was saturated with pagan practices and idol worship. It was because of his love for God and his commitment to purity that God entrusted Daniel with the ability to understand and interpret dreams and visions. And this divine ability served him well many times during Daniel's service to the king.

Daniel was among the Israelites taken captive from Jerusalem when King Nebuchadnezzar of Babylon besieged it. Although Scripture does not specifically state so, many scholars believe that Daniel became a eunuch. Yet despite the unfair circumstances, his faith remained strong. Daniel was selected to be part of the king's court because he met certain criteria according to the king's request. The men chosen were to be ones "in whom there was no blemish, but good-looking, gifted in all wisdom, possessing knowledge and quick to understand, who had ability to serve in the king's palace." (Daniel 1:4)

Daniel, even as a youth, displayed these characteristics. He already was considered one of the best of the best. But because of Daniel's obedient and submissive heart, God took him and made him better. In fact, the Bible says that in wisdom and understanding, Daniel and his three friends, Shadrach, Meshac, and Abed-nego, were 10 times better than any of the magicians and astrologers in the entire empire.

Daniel's new life in a foreign land included instruction in both the language and literature of the Babylonians. As a eunuch in the king's court, Daniel was exposed daily to the riches, the luxury, and all the other seductions of the Babylonian Empire. Yet he was determined to remain consecrated, not partaking of the delicacies provided to him by the king. To refuse the provisions meant sure consequences for him and for those overseeing his instruction. Yet Daniel remained steadfast, knowing that God would honor his choice to obey divine law rather than the laws of men.

Daniel had a greater respect for and fear of God than he did of the king. Knowing and believing that God would use him, Daniel kept his focus on God. In both the Babylon and the Persian Empires, Daniel was made great in the eyes of the kings and fellow men. The supernatural miracles that occurred in Daniel's life were recognized as ones that only the God of heaven and earth could do. To have the ability to not only interpret a dream but to state the dream without having prior foreknowledge, or to interpret the writings on the wall made by the finger of God, or to be rescued from the mouths of lions, are all displays of the faith of a man who, from his youth, determined to learn and follow the ways of God.

reference:
http://www.faithclipart.com/guide/christian-ministries/bible-heroes/daniel-the-interpreter-of-dreams-and-visions.html

This thread will be opened to learn more about the well known as well as the not-so-well known characters mentioned in the Holy Bible.

http://www.youtube.com/watch?v=kcuM8n_OciI#

G â€" God created us to be in a relationship with Him

O â€" Our sins separate us from God

S â€" Sins cannot be removed by good deeds

P â€" Paying the price, Jesus died and rose again

E â€" Everyone who trusts in Him alone has eternal life

L â€" Life with Jesus starts now and lasts forever!

http://www.youtube.com/watch?v=NSfOB8ANdWU#

http://www.youtube.com/watch?v=DohRa9lsx0Q#

Kummusta igsoong nessie,

Welcome to Tubag Bohol. I know you will enjoy your stay here with us. Ayaw'g pa uwaw-uwaw ha?

http://www.youtube.com/watch?v=SQzW6wz2JQk#

he he he! gamay ra lagi.

Quote from: islander on July 10, 2012, 10:19:31 AM
just a friendly warning, though.  the name is pinakurat.  it means that after tasting this, you will end up taking on the eyes of homer simpson.

he he he! mao ba? mo testing testing lang gud ta...

Learn to hold thy tongue. Five words cost Zacharias forty weeks' silence.

-Fuller

Madness, we fancy, gave an ill-timed birth
To grinning laughter and to frantic mirth.

-Prior

Commonly, physicians , like beer, are best whey they are old, and lawyers, like bread, when they are young and new.

-Fuller

Amen !

Quote from: TUBAGBOHOL.com on July 10, 2012, 09:23:00 AM
Look for this, Bran, when you are in the Philippines:

I will, Mike ! Aww, og puydi galing, i'll bring back bottles to the 'states.

Chillin with my buddies in Manhattan, New York City, USA

   

Downtown Manhattan, New York City

Rockefeller Plaza, New York City, USA

Soviet Monument to the Great Patriotic Liberational War


Kieve, The Ukraine (a former republic of the U.S.S.R)

Kiev, The Ukraine, 2006


With the American College Exchange Student Delevation to Kiev Mohyla University's Academy of Law & Sciences

Lvov, The Ukraine, 2006.


Posing with the cossacks.

Posing pod ang mga doktors.

Post medical board exam camping / hiking expedition. Summer of 2009.

Don Rico, Andre Nicholas and Lorrainge Angeli  (my siblings) posing at the Yellowstone National Park, Wyoming, USA.


July 2, 2012

My dad and I posing next to the Geysers at Yellowstone National Park, Wyoming, USA.

Quote from: chicogon on July 10, 2012, 06:46:13 AM

A sublime piece !

buahahaha!!!!!

Quote from: hubag bohol on July 10, 2012, 09:17:22 AM


Dabes nga pares... 

asa man ang suka beh?

Quote from: TUBAGBOHOL.com on July 10, 2012, 12:57:34 AM

Filipino Food Samporado

he he he, lami ni iparis og scrambled eggs !

Interesting kaayo...! The landscapes over there is quite majestic and magical.

The creative assembly band... !

Quote from: enadespinosa on July 09, 2012, 10:10:27 PM

London Bridge

A stunning shot!

Quote from: enadespinosa on July 09, 2012, 09:27:59 PM

Blackpool,Lancashire UK
one of the best beach in United Kingdom

The beauty of a father spending quality time with his children. Priceless.

he he he, mao ba?

Quote from: enadespinosa on July 09, 2012, 04:26:20 PM
bay mora mag si Barry Gibb imong papa sa Bee Gees ba..

bwahaha mao lagi. batan-on pa si dad ani; 27 years pa sija.

Quote from: vrglguapo on July 10, 2012, 03:38:44 AM
When i was a Popeye the sailor man buying gas at Miami,Florida.

he he he gi keep man nimo imong mustache style, Nong! Parihog style sa ahoang papa.

Bwa ha ha ha ha !

Quote from: hubag bohol on July 09, 2012, 10:59:37 AM
Kini na lang diay...

bwahahaha! basta kosher o halal, okey na sila ani...

Quote from: hubag bohol on July 09, 2012, 11:04:05 AM
Kini, klaro tingali ni nga safe...

bwahahaha! mo aprob sigoro sila ani.

Quote from: vrglguapo on July 10, 2012, 03:47:58 AM
Mao bitaw unya adto ta pasyal sab sa ila ni Mike.

Sige! Next time mo balik ko, segoro next year, mo bisita ko nimo, Nong Virgil! Mo bisita pod ta ni Mike.

I like this comic. Very direct and straight to the point, lagi.

A dengue fever vaccine is in development, but isn't generally available. If you're living or traveling in an area where dengue fever is known to be, the best way to avoid dengue fever is to avoid being bitten by mosquitoes that carry the disease.

If you are living or traveling in tropical areas where dengue fever is common, these tips may help reduce your risk of mosquito bites:

    Stay in air-conditioned or well-screened housing. It's particularly important to keep mosquitoes out at night.

    Reschedule outdoor activities. Avoid being outdoors at dawn, dusk and early evening, when more mosquitoes are out.

    Wear protective clothing. When you go into mosquito-infested areas, wear a long-sleeved shirt, long pants, socks and shoes.

    Use mosquito repellent. Permethrin can be applied to your clothing, shoes, camping gear and bed netting. You can also buy clothing made with permethrin already in it. For your skin, use a repellent containing at least a 10 percent concentration of DEET.

    Reduce mosquito habitat. The mosquitoes that carry the dengue virus typically live in and around houses, breeding in standing water that can collect in such things as used automobile tires. Reduce the breeding habitat to lower mosquito populations.


http://www.mayoclinic.com/health/dengue-fever/ds01028/dsection=prevention

Rash in dengue fever is a maculopapular or macular confluent rash over the face, thorax, and flexor surfaces, with islands of skin sparing. The rash typically begins on day 3 and persists 2-3 days.

Fever typically abates with the cessation of viremia. Occasionally, and more commonly in children, the fever abates for a day and then returns, a pattern that has been called saddleback fever. A second rash may occur within 1-2 days of defervescence, lasting 1-5 days; it is morbilliform, is maculopapular, spares the palms and soles, and occasionally desquamates.

Recovery is complete but slow, with fatigue and exhaustion often persisting after the fever has subsided. The convalescent phase may last for 2 weeks.

Patients are at risk for development of dengue hemorrhagic fever or dengue shock syndrome at approximately the time of defervescence. Abdominal pain in conjunction with restlessness, change in mental status, hypothermia, and a drop in the platelet count presages the development of dengue hemorrhagic fever.

Of patients with dengue hemorrhagic fever, 90% are younger than 15 years. The initial phase of dengue hemorrhagic fever is similar to that of dengue fever and other febrile viral illnesses. Shortly after the fever breaks (or sometimes within 24 hours before), signs of plasma leakage appear, along with the development of hemorrhagic symptoms such as bleeding from sites of trauma, gastrointestinal bleeding, and hematuria. Patients may also present with abdominal pain, vomiting, febrile seizures (in children), and a decreased level of consciousness.

If left untreated, dengue hemorrhagic fever most likely progresses to dengue shock syndrome. Common symptoms in impending shock include abdominal pain, vomiting, and restlessness. Patients also may have symptoms related to circulatory failure.

Patients with dengue will have a history of living in, or recent travel to, a region where the disease is endemic. The incubation period is 3-14 days (average, 4-7 days); symptoms that begin more than 2 weeks after a person departs from an endemic area are probably not due to dengue.

Many patients experience a prodrome of chills, erythematous mottling of the skin, and facial flushing (a sensitive and specific indicator of dengue fever). The prodrome may last for 2-3 days. Children younger than 15 years usually have a nonspecific febrile syndrome, which may be accompanied by a maculopapular rash. Classic dengue fever begins with sudden onset of fever, chills, and severe (termed breakbone) aching of the head, back, and extremities, as well as other symptoms. The fever lasts 2-7 days and may reach 41°C. Fever that lasts longer than 10 days is probably not due to dengue.

Pain and other accompanying symptoms may include any of the following:

    Headache
    Retro-orbital pain
    General body pain (arthralgias, myalgias)
    Nausea and vomiting (however, diarrhea is rare)
    Rash
    Weakness
    Altered taste sensation
    Anorexia
    Sore throat
    Mild hemorrhagic manifestations (eg, petechiae, bleeding gums, epistaxis, menorrhagia, hematuria)
    Lymphadenopathy










http://emedicine.medscape.com/article/215840-clinical

Reference:

http://emedicine.medscape.com/article/215840-treatment#aw2aab6b6b5

Prevention

The only way to prevent dengue virus acquisition is to avoid being bitten by a vector mosquito. Although this can be accomplished by avoiding travel to areas where dengue is endemic, that is not an ideal strategy because it would require a person to avoid most tropical and subtropical regions of the world, many of which are popular travel and work destinations. Other measures are as follows:

    -Wear N,N-diethyl-3-methylbenzamide (DEET)â€"containing mosquito repellant
    -Wear protective clothing, preferably impregnated with permethrin insecticide
    -Remain in well-screened or air-conditioned places
    -The use of mosquito netting is of limited benefit, as Aedes are day-biting mosquitoes
    -Eliminate the mosquito vector using indoor sprays

The most widely used mosquito-control technique, spraying cities to kill adult mosquitoes, is not effective. Efforts should target the larval phase with larvicides and cleaning up larvae habitats. Poor sanitation and poor refuse control provide excellent conditions for mosquito larvae to grow. Hurricanes and other natural disasters increase the habitat for mosquito growth in urban areas by increasing rubble and garbage, which act as water reservoirs.

Breeding of vector mosquitoes can be reduced by eliminating small accumulations of stagnant water around human habitats (eg, disposing of old tires, covering water receptacles, and changing water in birdbaths daily. Support community-based vector control programs (including source reduction) and the use of vectoricidal agents, including predatory copepods as biological control agents.

Pregnant patients

Dengue in pregnancy must be carefully differentiated from preeclampsia. An overlap of signs and symptoms, including thrombocytopenia, capillary leak, impaired liver function, ascites, and decreased urine output may make this clinically challenging. Pregnant women with dengue fever respond well to the usual therapy of fluids, rest, and antipyretics. However, 3 cases of maternal death due to dengue fever in the third trimester have been reported. An awareness of the clinical and laboratory manifestations of dengue in pregnancy should allow its early recognition and the institution of appropriate treatment. If the mother acquires infection in the peripartum period, newborns should be evaluated for dengue with serial platelet counts and serological studies.

Severe Dengue

Successful management of severe dengue requires careful attention to fluid management and proactive treatment of hemorrhage. Admission to an intensive care unit is indicated for patients with dengue shock syndrome.

Patients may need a central intravenous line for volume replacement and an arterial line for accurate blood pressure monitoring and frequent blood tests. Exercise caution when placing intravascular catheters because of the increased bleeding complications of dengue hemorrhagic fever. Urethral catheterization may be useful to strictly monitor urine output.

Intravascular volume deficits should be corrected with isotonic fluids such as Ringer lactate solution. Boluses of 10-20 mL/kg should be given over 20 minutes and may be repeated. If this fails to correct the deficit, the hematocrit value should be determined. If it is rising, limited clinical information suggests that a plasma expander may be administered. Starch, dextran 40, or albumin 5% at a dose of 10-20 mL/kg may be used. One study has suggested that starch may be preferable because of hypersensitivity reactions to dextran.

If the patient does not improve after infusion of a plasma expander, blood loss should be considered. Patients with internal or gastrointestinal bleeding may require transfusion, and patients with coagulopathy may require fresh frozen plasma.

After patients with dehydration are stabilized, they usually require intravenous fluids for no more than 24-48 hours. Intravenous fluids should be stopped when the hematocrit falls below 40% and adequate intravascular volume is present. At this time, patients reabsorb extravasated fluid and are at risk for volume overload if intravenous fluids are continued. Do not interpret a falling hematocrit value in a clinically improving patient as a sign of internal bleeding.

Platelet and fresh frozen plasma transfusions may be required to control severe bleeding. A case report demonstrated good improvement following intravenous anti-D globulin administration in 2 patients. The authors proposed that, as in immune thrombocytopenic purpura from disorders other than dengue, intravenous anti-D produces Fcγ receptor blockade to raise platelet counts.

Approach Considerations:

Dengue fever is usually a self-limited illness. There is no specific antiviral treatment currently available for dengue fever.

Supportive care with analgesics, fluid replacement, and bed rest is usually sufficient. Acetaminophen may be used to treat fever and relieve other symptoms. Aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), and corticosteroids should be avoided. Management of severe dengue requires careful attention to fluid management and proactive treatment of hemorrhage.

Quote from: islander on July 09, 2012, 03:26:54 PM
would that such infusion is within reach of those who are in far-flung areas.  but it isn't so in our milieu.  and considering the steep price, some of us just have to make do with alternatives that are within one's reach.  this is what this thread is for; just tips in the name of first aid and not as the final solution.

For those who live away from the nearest medical facility, it may be beneificial to begin drinking tawa tawa when symptoms of dengue begin. Patients should also keep drinking a lot of fluids, as they will become dehydrated because of the pyretic effect. In addition, for patients who are suffering from fever, it may be beneficial to take fever reducers such as ibuprofen or acetaminophen, which will be effective in reducing the fever. Patients should drink fluids rich in vitamin C, and E, B, A, which are antioxidants and immune boosters.

Of course, it is understandable if patients are limited in funding; however, if they are able, it is recommended that they seek medical care as soon as possible.

Quote from: islander on July 09, 2012, 03:13:57 PM
Climbing back to health

By Christine E.V. Gonzalez, ND, Ph.D.

I never thought for a moment that I would be deeply involved with a campaign to stop dengue mortality until I was infected with the virus. Five days before Christmas of 2009, I woke up feeling as though I just came out from the mouth of a volcano.

My body was burning with high fever. Every bone, muscle and organ in my body hurt, my glands were swollen and my pulse was racing. Headache and sore throat added to the symptoms.

I took homeopathic remedies, started a vitamin C drip, sponge bathed with essential oils several times a day, took fluids (organic vegetable juices and soups, coconut water, herbal teas, etc.) every 30 minutes and immediately did a CBC (complete blood count).

Dr. Gonzalez, brings a very good point in how the local community, especially the ones who live far away from the nearest medical facility may benefit from tawa tawa. Tinuod bitaw that it has medicinal quality and can help reduce the symptoms of dengue , as it has protective qualities for platelets (which are targetted by the dengue virus).

Quote from: islander on July 09, 2012, 03:22:38 PM
Food nutrition

Adequately feeding your immune system boosts its fighting power.

Top eight nutrients to add to your family’s diet

1. Vitamin C may be the single most important nutrient for the immune system essential for the formation of adrenal hormones and the production of lymphocytes. It also has a direct effect on bacteria and viruses. It’s best to get Vitamin C from food sources.

2. Vitamin E is an important antioxidant and immune booster that stimulates the production of natural killer cells.

3. Carotenoids. Beta carotene increases the number of infection-fighting cells, natural killer cells and helper T-cells. It is also a powerful antioxidant that mops up excess free radicals. Caution: Too much vitamin A supplements can be toxic to the body. There is no toxic amount if beta carotene (carrots, squash, etc) is obtained from foods.  Most vitamin and mineral supplements in the market are synthetic.

4. Bioflavonoids â€" A group of phytonutrients that aids the immune system by protecting the cells of the body against pollutants.

Yes, this is very true.

Quote from: islander on July 09, 2012, 03:12:25 PM
In addition, she issues this advisory:

Don’t take the Tylenol brand of paracetamol or acetaminophen when you have dengue, but take Biogesic which is a milder form of paracetamol instead.

Tylenol has been found to be toxic to the liver, and since dengue virus causes transitory hepatitis, using it has caused sudden, severe and medicinally induced hepatitis, which is believed to have caused some deaths.

Avoid acetylsalicylic acid like aspirin and nonsteroidal anti-inflammatory drugs (NSAID) like ibuprofen. They can increase the risk of bleeding.

Whenever possible, it is best to go to the hospital if you have dengue. Dengue may require blood and/or platelet transfusion and often intravenous hydration.

underscoring mine

Lami lagi mo use og tawa tawa , naay medicinal trait ani, pero if able , it is best to go to the E.R for acute care.

Quote from: islander on July 09, 2012, 03:16:12 PM
On the fifth day, my body was numb from pain. I remembered back in 2005, as a herbologist, I processed a lot of local herbs. One of them was tawa-tawa (Euphorbia hirta). I started drinking it as a tea every hour. I included sweet potato tops and moringa (malunggay) leaves in all my soups and juices.

On the seventh day, I was just waiting for something to happen. There must be a reason for this debilitating condition. What was it? All of the sudden, full realization hit me.

How can the people, especially children, fight this nasty virus? I was still vulnerable to it, despite my vibrant health. What more for the rest of the community, who rarely pay attention to their health unless there are symptoms?

Thus began my campaign for zero-dengue communities.

Tawa tawa may be beneficial , however, a faster way is to get a platelet infusion, secondary to hydration.